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Predicting perceived communication difficulty from behavioural measures during dyad conversations affected by noise
Gitte Keidser1, Lena-Marie Huttner1,2, Tobias May2
1Eriksholm Research Centre, Oticon A/S, Snekkersten, Denmark.
International Journal of Audiology
|January 23, 2026
Summary
Behavioral measures like speech production and gaze movement can predict communication difficulty in noisy environments. However, reliable markers for hearing loss-related difficulties require further investigation.
Area of Science:
- Audiology
- Speech Communication
- Human Factors
Background:
- Behavioral measures are increasingly used to assess communication challenges due to noise or hearing loss.
- Identifying reliable behavioral proxies is crucial for understanding and mitigating communication difficulties.
Purpose of the Study:
- To determine which behavioral measures best predict perceived communication difficulty in older adults under conditions of noise and hearing attenuation.
- To compare the effectiveness of speech production, turn-taking, and gaze movement measures.
Main Methods:
- Dyadic conversations were recorded in quiet (ear occluded) and noisy (60-70 dBA) conditions with 24 older adults (12 pairs).
- Participants rated perceived communication difficulty (success, effort, frustration) after each conversation.
- Behavioral data included speech production, turn-taking, and gaze movement.
Main Results:
- Perceived communication difficulty increased with higher noise levels and hearing attenuation.
- Increased vocal level and gaze movement significantly predicted communication difficulty in noise.
- No single behavioral model robustly predicted difficulty under hearing attenuation conditions.
Conclusions:
- Speech production and gaze movement measures are valuable for assessing communication difficulty in noisy settings.
- Further research is needed to identify reliable behavioral markers for communication difficulties stemming from compromised hearing.
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